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Course Registration

Call for registration price or submit this form to obtain more information. Pricing varies per state and program. We will email or call you with pricing.





Late registration is $125 after the deadline date.
Payment installation: 50% down payment upon registration and the balance on the first day of the program. Installation fee $35.

Cancellation/Refund policy: All cancellations must be made at least 14 days prior to start of program. A $100.00 administrative fee will be charged for all cancellations and refunds. Non-attendance leads to forfeit of all monies or registrant must attend another seminar. A return check fee of $25.00 will be charge.

 
First Name * Required
Last Name * Required
Street: * Required
City: * Required
State: * Required
Zip: * Required 5 digit
E-mail: * Required
RN Number: * Required
Work Phone: * Required
include area code
Home Phone: * Required
include area code

Location: * Required
Date: * Required
Number of Registrants: * Required
Choose Program:

The prices vary from state to state, we will contact you with the total for your registration and confirm before your card is charged.
 
Credit Card: Visa MasterCard American Express
 
Number:
Exp. Date:
Security Code: 3 digit code on back of card


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